The Peri Anesthesia LVN is responsible for providing direct patient care to and assisting with care coordination to the ambulatory surgery unit and clinic, supporting services and clinics throughout the VA San Diego Healthcare System. Anesthesia Pre-Op clinic can operate up to 12 hours/day, Monday-Friday. Flexibility is expected as operations evolve and require adequate nursing support. Basic Requirements: Citizenship. United States Citizenship English Language. Proficiency in written and spoken English. Licensure. Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia. An LPN/LVN who has or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in chapter 3, section B, paragraph 16 of this part. Education. Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Verification can be obtained from the State approving agency or the National League for Nursing Accrediting Commission, 61 Broadway, 33rd Floor, New York, NY 10006. Additional information may also be obtained from the NLNAC Website. Exceptions include: Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment. VHA employees who were converted to appointments under 38 U.S.C. 7401(3) implementation of Public Law 98-160, enacted November 21, 1983, and for VHA employees converted to appointments under 38 U.S.C. 7405 in implementation of Public Law 99-576, enacted October 28,1986; and for their future personnel actions under this authority. The waiver will not apply to persons appointed under 38 U.S.C. 7401(3) or 7405 after these conversions. Individuals granted a license by a jurisdiction that does not require graduation from an approved school. Grade Determinations: GS-6 Experience: Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. LPN must be technically proficient in initiating, performing and completing assigned duties in providing car to variable patient populations; Possess knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; Ability to observe, identify and respond to the patient's needs; Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures; Knowledge and ability to recognize urgent or emergent patient care situations; Knowledge and understanding of human behavior, patient motivations and reactions to situations. References: VA Handbook 5005 Part II Appendix G13, Licensed Practical or Vocational Nurse Qualification Standard Physical Requirements: Moderate lifting (up to 44 pounds); Moderate carrying (up to 44 pounds); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking, kneeling and standing up to 1.5 hours; repeated bending; both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; both eyes required; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; Hearing (aid permitted). ["The Ambulatory Surgery Unit Licensed Vocational Nurse assumes the following responsibilities: - Provides direct patient care to ambulatory surgical and procedural patients in accordance with hospital policies and practice standards and guidelines. - Administers medications and treatments to patients as required for pre- and post surgical/procedural care. - Provide direct patient care and support for the ambulatory surgery clinics, assisting nurse practitioners and/or registered nurses as needed. - Coordinate care, including patients as well as ancillary staff from procedure areas, as needed. - Assure patients have diagnostic tests prior to surgery. - Educates patients on pre-operative instructions and/or discharge instructions related to their disease process, treatment plan, and documents accordingly. - Screen patients in clinic and via telephone call. - Demonstrate mandatory and clinical competencies of the position. - Recognizes changes in patient's condition and deviations from baseline that require immediate intervention. - Recognizes potential urgent or emergent patient care situations, and able to rapidly call a \"Rapid Response Treatment (RRT)\" or \"Code Blue\" emergency. The LVN/LPN must be able to recognize changes in a patient's condition, such as shortness of breath, changes in skin condition (i.e., diaphoresis, flushness), tachycardia, or sudden loss of consciousness. Preferred Experience: Graduate of an accredited LVN program w/2 years current/active experience as a licensed vocational nurse (LVN); 2 years inpatient medical surgical experience; Clinical experience providing care in perioperative setting; pre/intra/post-procedural phases of care; Experience collecting blood and urine samples for laboratory testing; experience as EKG technician; ability to start IVs; Procedural setting; assisting with minor procedures; knowledge of personal computer & data entry, email retrieval, internet and Microsoft office software; Ability to effectively collaborate with all members of the interdisciplinary team; and current BLS through American Heart Association. Work Schedule: Monday - Friday, 0630 - 1600. Schedule to be discussed during interview. Telework: Not Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
